how can clinical decision support systems be used to support or improve patient care

how can clinical decision support systems be used to support or improve patient care

Clinical Decision Support Systems

Decision support systems were first designed and implemented in the corporate world to support business management. The integration of support systems into health care organizations brings a sharpened analysis capacity to data warehousing and data mining. This refined data analysis capability can lead to improved patient care and diagnoses through evaluation of various symptoms, prediction of certain drug interaction outcomes, and much more.

In this Discussion, you explore the use of clinical decision support systems and consider their value in assisting advanced practice nurses in making informed decisions and providing quality health care.

To prepare:

  • Review the information in the Learning Resources focusing on the use of clinical decision support systems.
  • Consider where you seek support for clinical decisions. Do you seek advice from other health care professionals in your organization? Do you use computerized clinical decision support systems? Do you perform your own research? Assess the advantages and disadvantages of each approach.
  • Reflect on how decision support technologies, including databases, might assist nurses in clinical practice.
  • Consider how you can validate the integrity of the data you are using in a clinical decision support system.
  • Peruse the information presented at the Open Clinical website presented in this week’s Learning Resources. Locate an article that focuses on how clinical decision support systems can be used to support or improve patient care. How does the information in the article align with or differ from your own experiences?

ASSIGNMENT: WRITE a description of how you currently seek support for clinical decision making and how you determine the integrity of the information you gather. Analyze the advantages and disadvantages of using computerized clinical decision support systems in clinical practice. Justify your response. Finally, summarize the article you selected from the Open Clinical website and include an evaluation of how computerized clinical decision support systems can be used to improve care.

Justify why social marketing is needed in today’s society to promote health initiatives.

Justify why social marketing is needed in today’s society to promote health initiatives.

The past decade has seen an enormous surge in social marketing to convey various messages. Social marketing has also been established as an essential health communications tool to promote health initiatives. Social marketing should not be the only tool to communicate information to the general public, but to complement the existing practices in place.

This week, you will examine the use of social marketing as a communication channel in healthcare.

Review the following website article:

  • Centers for Disease Control and Prevention. (2012). Gateway to health communication & social marketing practice. Retrieved from http://www.cdc.gov/healthcommunication/

Using the readings for the week, the South University Online Library, and the Internet, create a 15- to 20-slide Microsoft PowerPoint presentation with a separate title and reference slide. Include the following:

  • Justify why social marketing is needed in today’s society to promote health initiatives.
  • List the numerous communication channels that are used in developing a health campaign.
  • Describe the process used to identify the population segment that can benefit from a specific health behavior.
  • Explain how you will evaluate the effectiveness of your communications campaign.
  • Provide a specific example of how social marketing was used in a health campaign.

In addition, include a minimum of five scholarly references in support of your statements. Be sure to support your statements with appropriate examples. Cite all sources using the APA format.

Assignment 2 Grading Criteria
Maximum Points
Justified why social marketing is needed in today’s society to promote health initiatives.
25
Listed the communication channels used in developing a health campaign.
15
Described the process used to identify the population segment that can benefit from a specific health behavior.
15
Explained how to evaluate the effectiveness of your communications campaign.
15
Provided a specific example of how social marketing was used in a health campaign.
15
Presented a structured document free of spelling and grammatical errors.
5
Properly cited sources using APA format.
5
Used at least five current and relevant references.
5
Total:
100

 

what do you think are the barriers to PMHNPs practicing independently in your state?

what do you think are the barriers to PMHNPs practicing independently in your state?

Assignment:  Practicum Journal: Texas State Practice Agreements

In many states, nurse practitioners are completely autonomous professionals. In other states, however, NPs have a wide range of “restrictive” practice ranging from requirements for a “supervising” physician to requirements for a “collaborative” agreement with a physician.

In this Practicum Journal Assignment, you will examine the requirements of your own state (Texas) in order to prepare yourself for the realities of practice upon graduation.

Learning Objectives

Students will:

· Analyze Texas state Psychiatric-mental health nurse practitioner (PMHNP) practice agreements

· Analyze physician collaboration issues

· Analyze barriers to PMHNP independent practice

· Create plans for addressing state PMHNP practice issues

Assignment

· Review practice agreements in your state (Analyze Texas state Psychiatric-mental health nurse practitioner (PMHNP) practice agreements)

· Briefly describe the practice agreements for PMHNPs in your state (Texas)

· Identify and explain at least two physician collaboration issues in your state (Texas).

· Explain what you think are the barriers to PMHNPs practicing independently in your state.

· Outline a plan for how you might address PMHNP practice issues in your state.

PLEASE REMEMBER TO INCLUDE INTRODUCTION, CONCLUSION AND REFERENCES LESS THAN FIVE YEARS OLD

What were the ethical principles violated in the interaction between patients and doctors?

What were the ethical principles violated in the interaction between patients and doctors?

After you watch the documentary The Deadly Deception presenting the infamous Tuskegee Study, please respond to the questions below.

 

1. What were the ethical principles violated in the interaction between patients and doctors?

 

2. What other parties had interests in this case and what were these interests?

 

3. What were the arguments used by the defenders of the study to justify its execution?

 

4. What was wrong with these arguments?

 

5. How is this experiment similar to the experiments performed by Nazi doctors?

 

6. What can we do to make sure such experiments are not carried out ever again?

Summarize how key elements of health care reform impact the economy on a macro level.

Summarize how key elements of health care reform impact the economy on a macro level.

 Details:

Choose one of the following  three policies related to health care reform that influences the economy:

  1. Individual Mandate
  2. Cost-Sharing Reduction Payments to  Insurers
  3. Meaningful Use—Electronic Health Records    (EHRs), HITECH Act)

Write a paper of 1,000-1,250 words, not including the title and  References page that analyzes the chosen policy. Include the following  in your paper:

  1. Summarize how key elements of health care reform impact the    economy on a macro level.
  2. Research the governmental policy    process that was involved with the development, implementation, and    assessment of the chosen policy. Explain how the governmental policy    process affected the way the policy was developed, implemented, and  assessed.
  3. Explain how the policy proposal you selected may    impact three major stakeholders within the health care system (e.g.,    consumers, insurers, hospital systems).

Cite a minimum of five references to support your rationale.

Prepare this assignment according to the guidelines found in the APA  Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to  beginning the assignment to become familiar with the expectations for  successful completion.

You are required to submit this assignment to Turnitin. Please refer  to the directions in the Student Success Center.

This assignment assesses the following programmatic competencies:

MPA 4.5: Analyze how the governmental policy process informs the    development, implementation, and assessment of policy within health care.

MBA 5.2: Analyze the role of government and national health care    policies and programs and their impact on change within health care    delivery systems.

Describe the difference between the academic study of religion, and devotional practice and advocacy.

Describe the difference between the academic study of religion, and devotional practice and advocacy.

Option A: Written Summary

Write a 700- to 1,050-word summary that addresses the following topics:

 

·         Describe the difference between the academic study of religion, and devotional practice and advocacy.

·         What is the definition of religion?

·         What are common questions, concerns, practices, and experiences across various world religions? Include indigenous religions in your discussion.

·         What are some critical issues to the academic study of religion?

·         Where do religious ethics come from, and what role do they play in the practice of religion?

 

Format your paper consistent with course-level APA guidelines.

 

Submit your assignment to the Assignment Files tab.

Why would a change in a hospital’s variable costs change the hospital’s profit-maximizing price?

Why would a change in a hospital’s variable costs change the hospital’s profit-maximizing price?

Overview

· This assessment asks you to create a detailed implementation plan for an economic initiative.

As a master’s-level health care practitioner you may be expected to create budget and implementation plans to ensure that economic opportunities for the organization are rolled out successfully and can be sustained over multiple years. Additionally, it is important to be able to envision how an economic initiative could be used for different contexts and purposes to keep the investment a viable and positive asset to your organization or care setting.

Note: Complete the assessments in this course in the order in which they are presented.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Competency 1: Analyze the effects of financial and economic factors (such as cost-benefit, supply and demand, return on investment, and risks) in a health care system on patient care, services offered, and organizational structures and operation.

1. Create a budget for relevant expected costs and earnings or benefits over the first five years of a proposed economic initiative.

1. Analyze how a proposed initiative, once implemented, may impact aspects of a care setting and ways in which negative impacts could be mitigated.

. Competency 2: Develop ethical and culturally equitable solutions to economic problems within a health care organization in an effort to improve the quality of care and services offered.

2. Propose a plan to roll out an economic initiative that will enable a care setting to successfully implement it in an ethical and culturally equitable way that will ensure the initiative achieves quality or service improvements.

. Competency 3: Justify the qualitative and quantitative information used to guide economic decision making to stakeholders and colleagues.

3. Justify the relevance and value of the quantitative and qualitative economic, financial, and scholarly evidence used to support recommendations throughout a plan.

. Competency 4: Develop ethical and culturally equitable economic strategies to address dynamic environmental forces and ensure the future security of an organization’s resources and its ability to provide quality care.

4. Explain strategies that have been integrated into a proposed economic initiative that will ensure it can remain a viable asset to a care setting in the face of dynamic environmental forces.

. Competency 5: Apply various communication methods in order to clearly, effectively, and efficiently relate information to stakeholders and colleagues related to economic data, findings, and strategies.

5. Communicate a business and implementation plan in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.

5. Effectively support a plan and recommendations with relevant economic data and scholarly sources, correctly formatting citations and references using current APA style.

·

Context

To support your work on this assessment, take time to read the contents of Assessment 3 Context [DOC]. (attached)

Questions to Consider

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

. Do you think that cost shifting is a fair practice, or that it should it be legally banned?

. Why would a change in a hospital’s variable costs change the hospital’s profit-maximizing price?

. How do ethics and economic decision making come together when addressing health care issues?

. What is the highest-impact facet of health care economics that relates to your current or desired leadership role? What action steps and resources might you use to assure objective and ethical economic decision making in that role?

Resources

Suggested Resources

The resources provided here are optional. You may use other resources of your choice to prepare for this assessment; however, you will need to ensure that they are appropriate, credible, and valid.

Resources

. Guiding Questions: Implementation Plan for a New Economic Opportunity [DOC]. (Attached)

. Doran, C. M. (2010). Critique of an economic evaluation using the Drummond checklist. Applied Health Economics and Health Policy, 8(6), 357–359.

. Eisenberg, D., Freed, G. L., Davis, M. M., Singer, D., & Prosser, L. A. (2011). Valuing health at different ages. Applied Health Economics and Health Policy, 9(3), 149–156.

. Kirisits, A., & Redekop, W. K. (2013). The economic evaluation of medical devices: Challenges ahead. Applied Health Economics and Health Policy, 11(1), 15–26.

. Mukherjee, T., Al Rahahleh, N., Lane, W., & Dunn, J. (2016). The capital budgeting process of healthcare organizations: A review of surveys. Journal of Healthcare Management, 61(1) 58–77.

Internet Resources

These resources provide different templates for health care delivery budgets:

. Danna, D. (2016). Learning and mastering the operating budget. Retrieved from http://www.strategiesfornursemanagers.com/ce_detail/213520.cfm#

. California Department of Public Health. (n.d.). Budget cover sheet [XLS]. Retrieved from http://www.cdph.ca.gov/programs/cpns/Documents/CPNS-A4BudgetCoverSheet.xls

. Missouri Department of Health & Senior Services. (n.d.). Budget preparation worksheet [PDF]. Retrieved from http://health.mo.gov/data/interventionmica/BudgetPreparationWorksheet.pdf

. The Community Guide. (2010). Economic evaluation abstraction form, version 4.0 [PDF]. Retrieved from http://www.thecommunityguide.org/about/EconAbstraction_v5.pdf

These resources provide analyses and instructions for different health care delivery budgets:

. Pritchard, G. (2016). How to develop an operating budget for a nursing unit. Retrieved from http://smallbusiness.chron.com/develop-operating-budget-nursing-unit-79824.html

. Lyday, K. (2012). The value of alternative analysis [PDF]. Retrieved from http://www2a.cdc.gov/cdcup/library/presentations/alternatives/TheValueofAlternativeAnalysis.pdf

. The Community Guide. (n.d.). Economic reviews. Retrieved from https://www.thecommunityguide.org/about/economic-reviews

. The Community Guide. (n.d.). Understanding and using the economic evidence [PDF]. Retrieved from https://www.thecommunityguide.org/sites/default/files/publications/Ch11-Economics.pdf

· Assessment Instructions

In this assessment, you will plan for all pertinent details involved in implementing an new initiative.

Scenario

The senior management members have sent you their thanks and notes on your feasibility study for your proposed economic initiative. They have determined that your proposal has the potential to benefit the organization in both the short and long term. The last step in this process is to complete a thorough implementation plan for your proposed initiative. This plan will need to include a budget of relevant expected material, staffing, and capital costs over the first five years of the initiative (see the Resources for some examples and guides about budget planning), as well as projected earnings from the initiative for the care setting. You must also include a plan and timeline for rolling the initiative out, an analysis of how it may impact other aspects of the care setting, an explanation how it can remain viable in the face of environmental changes, and sufficient relevant supporting evidence.

Directions

In your 6–10 page plan, you have been asked to be sure to address the following. Note: The bullet points below correspond to grading criteria in the scoring guide. Be sure your work is, at minimum, addressing each of the bullets below. You may also want to read the scoring guide and the Guiding Questions: Implementation Plan for a New Economic Opportunity document to better understand the performance levels that relate to each grading criterion:

. Create a budget for relevant expected costs and earnings or benefits over the first five years of a proposed economic initiative.

. Propose a plan to roll out your economic initiative that will enable your care setting to successfully implement it in an ethical and culturally equitable way that will ensure achievement of quality or service improvements.

. Analyze how your proposed initiative, once implemented, may impact other aspects of your care setting and ways in which negative impacts could be mitigated.

. Explain strategies you have integrated into your proposed economic initiative that will ensure it can remain a viable asset to your care setting in the face of dynamic environmental forces.

. Justify the relevance and value of the quantitative and qualitative economic, financial, and scholarly evidence you used to support your recommendations throughout your plan.

. Communicate your business and implementation plan in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.

. Effectively support your plan and recommendations with relevant economic data and scholarly sources, correctly formatting citations and references using current APA style.

Additional Requirements

Length: 6–10 double-spaced, typed pages (not including title page and reference list). Your paper should be succinct yet substantive.

8. Be sure to include a separate title page and reference list.

8. Your completed budget plan should be included as an appendix within your final submission.

APA formatting: Resources and citations are formatted according to current APA style.

Resources: Cite a minimum of 3–5 authoritative and scholarly resources. Be sure to include specific economic data and support as part of your cited resources.

Portfolio prompt: You are required to save this learning activity to your ePortfolio, in the Professional Showcase binder.

Determine sociodemographic characteristics

Determine sociodemographic characteristics

Chapter 7

Community Health Planning, Implementation, and Evaluation

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

The Community as Client

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

2

Figure 7-1

Levels of Community Health Nursing Practice

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

3

Client Example Characteristics Health Assessment Nursing Involvement
Individual Lisa McDonald Individual with various needs Individual strengths, problems, and needs Client-nurse interaction
Family Moniz family Family system with individual and group needs Individual and family strengths, problems, and needs Interactions with individuals and the family group
Group Boy Scout troop Alzheimer’s support group Common interests, problems, and needs Interdependency Group dynamics Fulfillment of goals Group member and leader
Population group AIDS patients in a given state Pregnant adolescents in a school district Large, unorganized group with common interests, problems, and needs Assessment of common problems, needs, and vital statistics Application of nursing process to identified needs
Organization A workplace A school Organized group in a common location with shared governance and goals Relationship of goals, structure, communication, patterns of organization to its strengths, problems and needs Consultant and/or employee application of nursing process to identified needs
Community Italian neighborhood Anytown, USA An aggregate of people in a common location with organized social systems Analysis of systems, strengths, characteristics, problems, and needs Community leader, participant, and health care provider

Health Planning Model

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

4

Figure 7-2

Hogue (1985)

Steps in the Health Planning Model

Assessment

Meet with group leaders of aggregate to clarify mutual expectations

Determine sociodemographic characteristics

Interview a key informant

Consider both positive and negative factors

Compare the aggregate with the “norm”

Research potential problems

Identify health problems and needs

Prioritize the identified problems and needs to create an effective plan

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

5

Four Types of Needs to Assess

Expressed needs

Demand for services and the market behavior of the targeted population

Normative needs

Lack, deficit, or inadequacy of services determined by health professionals

Perceived needs

Wants and desires expressed by audience

Relative needs

Gap showing health disparities between advantaged and disadvantaged population

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

6

Factors for Determining Priorities

Aggregates preferences

Number of individuals affected by the health problem

Severity of the health need or problem

Availability of potential solutions

Practical considerations such as skills, time, and available resources

May use Maslow’s hierarchy of needs or levels of prevention to further refine priorities

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

7

Community Involvement Is Essential

“Start where the people are!”

Five spheres of empowerment

Interpersonal (personal empowerment)

Intragroup (small group development)

Intergroup (community)

Interorganizational (coalition building)

Political action

– Labonte (1994)

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

8

Steps in the Health Planning Model (Cont.)

Planning

Determine the intervention levels

Subsystem, aggregate system, and/or suprasystem

Plan interventions for each system level

Primary, secondary, or tertiary levels of prevention

Validate the practicality of the planned interventions according to available resources

Personal, aggregate, and suprasystem

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

9

Development of Goals and Objectives

Goals—where we want to be

Objectives—steps needed to get there

Measurable

Specific measures

Instructions to guide population

Used to measure outcomes

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

10

Steps in the Health Planning Model (Cont.)

Intervention

Often the most enjoyable stage for the nurse and the clients

Implementation should follow the initial plan

Should include a variety of strategies

Prepare for unexpected problems

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

11

Interventions by Type of Aggregate and System Level

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

12

Project Type of Aggregate System Level for Intervention
Rehabilitation group Group Subsystem and aggregate system
Textile industry Organization Aggregate system and suprasystem
Crime watch Group, organization, and population group Aggregate system and suprasystem
Bilingual students (case study) Community Aggregate system and suprasystem

Steps in the Health Planning Model (Cont.)

Evaluation

Include the participant’s verbal or written feedback and the nurse’s detailed analysis

Reflect on each previous stage to determine the plan’s strengths and weaknesses

Evaluate both formative (process) and summative (product/outcome) aspects

Communicate follow-up recommendations

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

13

Importance of Each Step in the Nursing Process

Aggregate assessments must be thorough.

Should elicit answers to key questions about the aggregate’s health and demographic profile

Should compare this information with similar aggregates presented in the literature

The nurse must complete careful planning and set goals that the nurse and the aggregate accept.

Mutual planning is very important.

Interventions must include aggregate participation and must meet the mutual goals.

Evaluation must include process and product evaluation and aggregate input.

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

14

PRECEDE-PROCEED Model

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

15

Federal Legislation Affecting Health Planning

Hill-Burton Act

Regional Medical Programs (RMP)

Partnership for Health Program (PHP)

Certificate of Need (CON)

National Health Planning and Resources Development Act

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

16

Comprehensive Health Reform

Patient Protection and Affordable Care Act (2010)

Preventive services based on evidence-based recommendations

National strategy to improve the nation’s health

CMMS innovation center

National quality improvement strategy for services and population health

Improved access to care

Reduction in the growth of Medicare spending

National workforce strategy

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

17

Nurses’ Role

Work collaboratively with health planners to improve aggregate health

Fuse technology with knowledge of health care needs and skills

Become directly involved in the planning process

Engage in aggregate-level projects

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

18

How is communication handled so the patient/family needs are consistently met when moved across settings?

How is communication handled so the patient/family needs are consistently met when moved across settings?

THIS PAPER APA FORMAT IS ABOUT 40% OF GRADE. FORMAT IS VERY IMPORTANT HERE. IM GIVING THE OUTLINE WITH EXCATLY WHERE AND HOW THIS PAPER NEEDS TO INCLUDE AND WHERE TO PUT THE INFORMATION. PLEASE THIS NEEDS TO BE EXACTLY LIKE THE OUTLINE IM INCUDING. ALL TOPICS AND FORMAT (APA) HAS TO BE 100%.  I WILL DESPUTE THIS PAPER IF I END UP WITH UNDER A 80%.

 

For this paper, you will develop an innovative nursing care delivery model for a vulnerable population, care specialty, and setting in the United States OR a low income global country that reflects nurse managed care, collaboration, care across settings, and technology.

 

For your paper, it is easiest to focus on one (1) population, one (1) health issue/disease, and one (1) type of setting within a country. Be specific. If you use a low income country, name your low income country (see list at the end of this) and adjust your model to the disease(s) and conditions found within that country. Consider that low income countries will not have access to the same level of facilities, technology related to diagnostics and communication, medications, and the health care professionals found in the U.S.

A vulnerable population include low income children & adults; elderly; homeless; migrants; immigrants; racial & ethnic minorities, people with chronic health or terminal conditions/diseases (or any group at risk for obtaining appropriate health care).

-A care specialty  include preventative care; primary care; acute care; chronic care; palliative or end-of-life care (including the targeting of any disease or condition that results in a health risk).      

-A setting include rural or urban community housing and/or clinic; school; specialty unit in a hospital; emergency room; health provider office; armed services facility; rehabilitation facility; hospice facility; ambulatory health care center; client home; nursing home; short term stay housing (or any setting where a vulnerable client/patient population is available for care).

 

LIST OF SELECTED COUNTRIES

African Republic Algeria

Angola

Dem Rep of Congo Ethiopia

Ghana Madagascar Malawi Mozambique Niger Senegal Sierra Leone South Africa Uganda Zambia Zimbabwe

Bolivia Ecuador Guatemala Haiti Nicaragua Peru

Afghanistan Egypt

Iraq Morocco Somalia Sudan Yemen

 

Bangladesh North Korea Myanmar Nepal

 

 

 

OUTLINE OF EXACTLY HOW THE PAPER NEEDS TO BE:

Title of Paper (top of page 2, centered) Innovative Nursing Care Delivery: [Name of Your Model]

PAPER HEADING: Introduction [Level 1] What is your model’s population, setting, care specialty, and your model’s goal(s) and/or purpose(s)? For example, are you targeting a particular group or disease/condition? Choose a name for your model and include it in your paper title.

 

PAPER HEADING: Description of the [Name of Your Model] [Level 2] You are welcome to use your creativity in the model–develop your own or base it on an existing model. For ideas, start with the articles found with the assignment, textbook (Global Health 101) scenarios, or do literature searches on the internet. However, be sure that the model is nurse-led or nurse-managed. Registered nurses have authority to make decisions regarding nursing diagnoses, interventions, and referrals. Registered nurse practitioners have additional authority related to medical diagnoses and interventions (prescriptions).

Be sure to include the themes crucial to meeting the challenges of the future: nurse- managed care, collaboration, continuity of care and technology in describing your model. Be aware of cost-effectiveness; you could develop the “Cadillac” of models, but no one would consider implementing it because the cost would be too high.

 

Nurse led and nurse managed health care. [Level 3] How is your model nurse managed? Were nurses instrumental in the development and implementation of your model? Are nurses consulted and/or make decisions re: budget, personnel, and the communication, referral, and evaluation processes?

 

Partnerships and collaboration. [Level 3] What partnerships and collaborations exist for your model? Are they at the professional level (i.e., social workers, nutritionists, community leaders) and/or the organizational level (home health care agencies, public health departments, hospitals)?

 

Continuity of care across settings. [Level 3] What happens when a patient/client moves to a different setting, i.e., home, hospital, hospice, clinic, emergency room, etc. How is communication handled so the patient/family needs are consistently met when moved across settings?

        

Technology. [Level 3] What technology is used? Is it low-technology (basic assessment tools, screening tests) or high-technology (i.e, patient diagnostic, monitoring, and/or data processing systems) or a combination of both?

 

PAPER HEADING: Development/Implementation Team for the [Name of Your Model] [Level 2] Your team is important to carry out model’s goal(s). Depending on your model and setting, your team may include other registered nurses, nurse practitioners, community workers, nurse assistants, licensed practical nurses, nutritionists, physical therapists, occupational therapists, dentists, social workers, community leaders, psychologists, clergy, administrators, informatics technicians, physicians (if physicians are part of the team, they should function as consultants, not “captain of the ship”). Include your team members and briefly discuss their functions in carrying out the model goal(s)/purposes(s). How would communication and referrals be handled? Again–think about the cost effectiveness–could ancillary staff (nurse assistants, trained community workers) be used just as effectively?

 

PAPER HEADING: Evaluation of [Name of Your Model]: Outcome Measurement [Level 2] After implementation of the model, what outcomes would you measure Would you look at cost comparisons and/or savings? Patient satisfaction? Staff satisfaction? Fewer ER visits and/or re-hospitalizations? Decreased incidence of a particular disease/condition? Increased number of therapies? Increased knowledge of a disease or intervention?

For outcomes, be specific on what, who, when and how. For example, if you do a survey:

What type of survey is it (i.e., satisfaction, data gathering)?

Who would you survey (i.e., staff, patients, administrators)?

When would you do the survey (i.e., time period; pre/post tests)?

 

How would you conduct the survey (handout, mailing, computer analysis)?

 

 

  • attachment

    innovative_nursing_care_deliverywrd.docx